Application Form - Physician Careers PEI

Opportunity Details

Job Title(Required)

Location(Required)

Opportunity Type(Required)

Provincial Department

Contact Information

Phone(Required)

Email(Required)

Current Country of Residence(Required)

Current Province(Required)

Current State(Required)

Credentials

Certification 1(Required)

Please enter the active certifications you hold.

Certification 2

Certification 3

Country of undergraduate medical school(Required)

Country of post-graduate training / residency program(Required)

Institution of post-grad training / residency program(Required)

Other Institution of post-grad training / residency program(Required)

Please select your medical program.(Required)

Please specify your program.(Required)

Program Start Date(Required)

Program Graduation Date(Required)

If currently in a program please enter anticipated graduation date.

In which country are you currently practicing?(Required)

Is this your first time applying to this position?(Required)

Resume / CV

Please upload your resume/CV and cover letter.(Required)

Drop files here or

Accepted file types: pdf, Max. file size: 20 MB, Max. files: 5.

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File old

Accepted file types: pdf, Max. file size: 20 MB.

Please provide any additional details you would like to include in your application.

FOIPP Statement: Personal information is collected from this form under section 31(c) of the Freedom of Information and Protection of Privacy Act for the purpose of health professional recruitment by the Province of Prince Edward Island, Canada. Questions about the collection or use of this information can be referred to Health PEI Workforce Recruitment by e-mail to healthrecruiter@gov.pe.ca.